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Engineering Manager — AI-First Platform & Agent Teams

1 month ago
United States
Full-time
Lead
AI Engineer
Software Development
Amplitude AWS EC2 GitHub Actions HIPAA Mixpanel Next.js Node.js PostgreSQL React Redis Segment TypeScript Vercel WebRTC
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LumiMeds

LumiMeds

LumiMeds is a telehealth platform based in San Francisco, CA, that focuses on weight management, metabolic health, and longevity treatments. Founded around 2015, the company connects patients with independent licensed providers through a digital platform, offering personalized treatment plans and virtual consultations. LumiMeds emphasizes affordable access to health solutions, ensuring no hidden fees for its services. The platform provides a range of core services, including virtual patient evaluations, health data reviews, and care coordination. Patients can receive compounded GLP-1 medications, such as semaglutide and tirzepatide, shipped directly to their homes. LumiMeds operates in many U.S. states, allowing patients to qualify for treatments through intake forms and virtual consultations. The company has a strong focus on evidence-based care and has facilitated millions of patient interactions, serving over 10,000 healthcare professionals.

medical practice
11-50
Founded 2024
View All Jobs 19

Description

  • Lead, hire, onboard, coach, and develop a team of 4–8 full-stack engineers.
  • Act as a working engineer by writing production code, reviewing PRs, debugging complex issues, and pairing on senior-level work.
  • Design and operate Claude agent pipelines to parallelize engineering work and raise team output.
  • Break down complex initiatives into agent-executable subtasks with precise acceptance criteria and unambiguous specs.
  • Set standards for AI tool usage, prompting, verification, and when to override agent output.
  • Own delivery end to end, including sprint planning, blocker resolution, and cross-functional dependency management.
  • Build and own core consumer product systems, including e-commerce, subscription billing, checkout flows, mobile backend, and user tracking infrastructure.
  • Design and maintain A/B testing and experimentation infrastructure, including feature flags, assignment logic, analytics, and results dashboards.
  • Establish engineering standards for code quality, PR review norms, deployment practices, observability, and incident response.
  • Partner with Product, Clinical, and Ops to translate roadmap requirements into engineering execution.

Requirements

  • 6+ years of software engineering experience, including 2+ years in a lead or management role.
  • Hands-on experience with Node.js/TypeScript backends and Next.js/React frontends at a senior level.
  • Strong PostgreSQL fundamentals, including schema design, migrations, and query optimization, plus Redis experience.
  • Demonstrated experience building and orchestrating multi-agent pipelines with the Claude Agent SDK.
  • Production experience integrating LLMs into real systems, including streaming, tool use, structured outputs, and prompt engineering.
  • Daily use of Claude Code, Cursor, or equivalent AI development tools in built workflows.
  • Proven experience designing and building web A/B testing platforms from the ground up.
  • Deep understanding of experimentation design, including randomization, assignment consistency, statistical power, holdout groups, and novelty bias.
  • Experience building consumer apps and e-commerce systems end to end, including storefronts, checkout, subscriptions, and billing.
  • Built user behavior tracking infrastructure such as event schemas, analytics pipelines, conversion funnels, and retention analysis.
  • Experience running engineering sprints, managing dependencies, and owning delivery timelines.
  • Ability to write precise engineering specs that agents and engineers can execute with minimal back-and-forth.
  • Familiarity with AWS services such as EC2, RDS, Lambda, and S3, as well as Vercel, GitHub Actions, and CI/CD pipelines.
  • Working knowledge of HIPAA/SOC2 requirements and how compliance affects architecture decisions.
  • Fluent written and spoken English for async team communication.
  • Experience in telehealth, DTC health, or a regulated healthcare environment is preferred.
  • Experience building an internal agent framework or tooling layer used by other engineers is preferred.
  • Experience shipping a consumer mobile app with measurable retention is preferred.
  • Background in distributed systems or real-time infrastructure is preferred.
  • Evidence of AI-augmented engineering results, such as examples, numbers, or a portfolio, is strongly preferred.

Benefits

  • Remote-first work with a globally distributed team.
  • Minimum 4–5 hours of daily overlap with U.S. Pacific/Eastern business hours.
  • High ownership and fast decision-making in a low-bureaucracy environment.
  • Direct impact on patient outcomes through the systems you build.
  • Opportunity to work on technically complex problems in clinical workflows, billing, and HIPAA-regulated systems.
  • Small-team environment with high leverage and visible production impact.
  • Equal opportunity employer consideration based on skills, experience, and values.

Interested in this position?

Apply directly on the company website

Apply Now

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